Breast Feeding and Nurses role

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Breast Feeding:

Is the best method of feeding for newborn and preterm baby’s health.

Exclusive Breast Feeding means that:

– No food or drink other than breast milk is offered to breast feed baby for up to 6 months.

-Baby is fed on self demand,

-Day and night with no restrictions on the length or frequency of breast feeding.

Partial Breast Feeding is defined as feeding the infant breast milk for some feedings while / and supplementing or substituting feedings with formula or glucose water at other times.

Benefits of Breast Feeding to Mother

– Infant’s sucking promotes involution of the uterus after parturition.

– B.F saves time and is less of strain on family budget than buying fresh or evaporated milk.

– It lower the incidence of cancer breast.

– B-feed mothers are less liable to develop osteoporosis.

– It lose mother weight.

– B.F. protects mother from hip fractures.

• It fulfills the feminine role and motherly attitudes.

• B.F. helps the mother to  relax and feel calm.

• B.F. help in providing healthy space between children, but it dose not provide complete contraception.

Benefits of Breast Feeding to infant

– Breast milk is warm, ready, sterile and balanced in protein, carbohydrates, fat and vitamins and does not cost anything.

– It is more easily digested than cow’s milk.

– Breast- fed infants have greater immunity to certain childhood diseases, such as chest infection, ear infection.

– Infants are less likely to have gastro-intestinal disorders, anemia and vitamin deficiency.

– Breast milk is important for the brain and CNS especially preterm.

– Infants who are not strictly breast- fed for at least two months double their risk of getting insulin –dependent diabetes.

– Breast feeding can protect the infant from allergies, such as enzyme and asthma.

– Breast milk is available all time.

– Infant is secure through constant with his mother and this has an effect on the child’s psychological development.

Colostrum

– Colostrum, a thin, yellowish fluid the breasts secretes it before milk production begins.

– It helps maintain the blood glucose level in the breastfeeding infant.

Breast feeding reflexes

Maternal reflexes

– Nipple erection reflex.

– Prolactine reflex from hypothalamus.

– Oxytoxic reflex from posterior pituitary gland.

– Prolactin initiates milk production and the breasts become full (engorged), as well as warm and tender, between postpartum days 3 and 4.

– Mothers often refer to this as having their milk “come in.” There may be a slight elevation in body temperature during this time.

Neonatal reflexes

– Prolactin initiates milk production and the breasts become full (engorged), as well as warm and tender, between postpartum days 3 and 4.

– Mothers often refer to this as having their milk “come in.” There may be a slight elevation in body temperature during this time.

Criteria of Breast Feeding

– Adequacy of breast feeding

– Infant calm and satisfied after feeding.

– Normal bowel motion.

– Normal weight gain.

Under feeding….

– Failure of weight gain.

– Dehydration, constipation, sleepness, colic.

Over feeding

– Regurgitation, vomiting, colic.

– Large bulky stool, abdominal distension, excessive sweating

Related to mother

– Infectious disease (active T.B).

– Mental disease (epilepsy, hysteria,toxic drugs).

– Lung disease, cancer.

– Pregnancy

Related to infant

– Inborn error of metabolism.

– Allergy to breast milk.

– Severe congenital anomaly (cleft lip/palate).

Difficulties in Breast Feeding

Defect in infant

– Stomatitis, soreness of mouth.

– Congenital anomalies, premature, facial palsy .

Defect in mother

– Twins pregnancy.

– Poor development of breast, sore nipple, engorgement of breast, mastitis, abscess.

Technique of Breast Feeding

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Positioning for Breast Feeding

Positioning for both the mother and the infant is important to facilitate the infant latch on to the breast and to make both the mother and infant comfortable during each breastfeeding.

Proper Positioning for Breast Feeding

– Foot- ball hold.

– Side lying position.

– Cradle position.

– Cross cradle position.

– Horizontal position.

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– The infant is placed chest to chest with the mother at the level of the breast and the baby’s head and body are supported.

– The infant’s mouth is placed directly in front of the breast, and the infants nose, cheeks and chin should touch the breast.

– Position mother hand around the breast correctly, using the “C” or “V” (Scissor) hold to direct the nipple towards the infant’s mouth.

– The “C” or “V” (Scissor) hold helps the mother support her breast and position it to promote latch-on.

– Using the “C” or “V” hold also helps the mother hold her fingers in a way that prevents obstruction of the lactiferous ducts.

N.B

– No position can be labeled “ Ideal” the important thing is that the mother is relaxed an can hold her infant close to her breast comfortably for the time it take.

Nurses role in breast Feeding

– Assess the breasts for signs of engorgement, including fullness around postpartum days 3 and 4; assess for hot, red, painful, and edematous areas, which could indicate mastitis; assess nipple condition for clients who are breastfeeding.

CLIENT TEACHING

– Breastfeeding clients should wear a comfortable support bra.

– Instruct mothers to gently rub colostrum or breast milk into their nipples and allow them to air dry after each feeding to “condition” the nipples.

– Clients should avoid washing the nipples with soap.

– It is also extremely important to teach clients proper breastfeeding techniques to ensure a positive experience for both the client and infant.

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– Teaching proper latch-on techniques and how to break the infant’s suction after feeding can have a positive and lasting effect upon women’s breastfeeding experiences.

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– Clients may have sore, cracked, and sometimes bleeding nipples, which can discourage the continuation of breastfeeding.

– Instruct bottle feeding clients to wear a tight-fitting bra and to avoid any type of nipple stimulation until lactation ends.

– Clients who choose not to breastfeed will also experience their milk “coming in”; however, lactation can be suppressed through the use of a well-fitting bra.

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– Non-breastfeeding clients should also avoid any type of nipple stimulation or heat to the breasts, such as warm or hot showers in which the water is allowed to run continuously over the breasts.

– Clients may use ice packs or cool cabbage leaves to ease breast discomfort until milk production ceases.

– It generally takes 5 to 7 days for the breasts to stop producing milk.

– Healthcare providers may consider prescribing mild analgesics if the client has significant discomfort.

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Posted in Maternity, Nursing Intervention

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